OUTCOME COMPARISON BETWEEN MUSCULOCUTANEOUS AND FASCIOCUTANEOUS FLAPS FOR RECONSTRUCTION OF SACRAL PRESSURE SORES

Abstract

Background: Musculocutaneous flaps were defined as the flaps of 1st choice for repair of sacral pressure
sore, this study compares the outcomes of musculocutaneous and fasciocut-aneous flaps for
reconstruction of sacral pressure sores. Methods: Between 2005 and 2009, the authors operated on
30patients, 18 men and 12 women, The patients were randomly divided into two groups according to the
use of bilateral v-y gluteal myocutaneous flap or superior gluteal artery fasciocuta-neous flap. The ages of
the patients ranged from 23 to 66 years. all had sacral pressure sores extending to the bone. No co
morbidities were found in the sample. Results: Twenty eight lesions were closed successfully. After
follow-up of 9 to 12 months,27 patients never required repeated surgery after wound complications. Two
patients had infection and partial dehiscence of the wound in group A; and one patient had partial flap
necrosis in group B. So, there were no significant difference in early complication and the recurrence rate
were equal in the two groups. Conclusion : There was no superiority of musculocutaneous flaps over
fasciocutaneous in reconstruction of sacral pressure sores.